TITLE:
Effect of Micropapillary Pattern and Spread through Air Space in Patients with Lung Adenocarcinoma ≤ 2 cm
AUTHORS:
Yafei Bao, Liang Zhen, Hui Wang, Hang Su, Chang Chen, Bo Jiang, Lei Zhang
KEYWORDS:
Micropapillary, Spread through Air Space, Lobectomy, Sub-Lobectomy, Prognosis
JOURNAL NAME:
Journal of Cancer Therapy,
Vol.11 No.10,
October
9,
2020
ABSTRACT: Objective: To analyze the relationship between micropapillary pattern (MIP) and tumor
spread through air space (STAS) and postoperative survival rate in patients with
lung adenocarcinoma ≤ 2 cm. Methods: Retrospective analyses were performed
on clinical data of 575 patients with lung adenocarcinoma ≤ 2 cm, which were resected
from 2009 to 2011. We analyzed the pathological findings on the resected specimens,
with special reference to the presence/absence MIP and STAS, which have been reported
to be a marker of poor prognosis of lung adenocarcinoma. Patients were divided into
three according to the presence/absence of MIP and STAS: low-risk (MIP- STAS-), medium-risk (either MIP or STAS + (one plus)) and high-risk group
(+/+: double plus). Endpoint was postoperative survival rate, which was compared
among three groups. Results: There was no statistical difference in age,
sex, and serum CEA level among three groups. In lobectomized patients, there was
no statistical difference in prognosis among three groups; however, in sub-lobectomy
group, patients with double + (+/+ for MIP and STAS) showed a lower survival rate
than others (P Conclusion: The presence of MIP and STAS reduced
the survival rate in sub-lobectomized patients.